Reasons for Procedure

End a pregnancy that tests have shown would result in a child with severe abnormalities

Possible Complications

These procedures are very safe. But, no procedure is free of risk. Problems resulting from abortion can include:

An incomplete procedure

Bleeding

Infection

Injury to the cervix or other organs

Reaction to anesthesia

The earlier in a pregnancy the abortion is done, the better the chances of a procedure with no complications.

If you think you might be pregnant, see your doctor. The earlier you find out, the more time you have to make an informed choice about the pregnancy. Early symptoms of pregnancy include:

A missed period

Tender, swollen breasts

Fatigue

Nausea or vomiting

Increased sensitivity to odors

What to Expect

Prior to Procedure

Your doctor may:

Examine you—to determine the stage of your pregnancy by checking the size of the uterus (womb)

Do blood and urine tests—to confirm the pregnancy

Use ultrasound—to give an accurate assessment of the stage of pregnancy

Give you medicine—to help dilate the cervix

Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:

Aspirin or other anti-inflammatory drugs

Blood thinners

Anesthesia

Local anesthesia with sedation may be used. The local anesthesia will numb the cervix. Sedation will help you relax. In some cases,
regional
or
general anesthesia
may be used.

Description of Procedure

You may be given an antibiotic before the procedure.

MVA

The doctor may inject a numbing agent in or near the cervix. Special tools will be used to stretch the cervix opening. A tube will be inserted into the uterus. The tube will then remove the contents.

D&C

The steps for an MVA will be followed. The doctor will then use a narrow metal loop to remove the tissue lining the uterine walls.

D&E

This procedure is similar to a D&C, except that it is done during the second trimester. It will also require wider dilation of the cervix. The fetus and other products of conception are removed from the uterus with medical instruments and suction. This usually requires regional or general anesthesia.

How Long Will It Take?

About 5-20 minutes

How Much Will It Hurt?

Women report cramps similar to menstrual cramps. Talk to your doctor about medicine to help manage discomfort.

Acetaminophen
(such as Tylenol) or
ibuprofen
(such as Advil) can reduce most of these symptoms. Do not take
aspirin
unless directed to by your doctor.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.